TIFT C&A OUTPATIENT SERVICES – NPI #1942374343
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Health Care Provider Taxonomy Code for Clinic/Center

TIFT C&A OUTPATIENT SERVICES is an AHC clinic located in TIFTON, GA. NPPES has assigned the NPI number 1942374343 to TIFT C&A OUTPATIENT SERVICES on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TIFT C&A OUTPATIENT SERVICES” is a dba name, the actual legal business name for this organization is SOUTH GEORGIA CSB. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 16 years ago on Mar 17, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIFT C&A OUTPATIENT SERVICES below.

NPI Profile for
SOUTH GEORGIA CSB

NPI Number
1942374343
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH GEORGIA CSB
Doing Business As (dba): TIFT C&A OUTPATIENT SERVICES
Primary location
340 TIFTON ELDORADO ROAD
TIFTON, GA 31794
Phone: (229) 391-2350 Fax: (229) 386-7099
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES POWELL
CHIEF EXECUTIVE OFFICER
Phone: (229) 671-6101
Updated
Identifiers

Identifiers for TIFT C&A OUTPATIENT SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA777050079A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.